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Published on: September 30, 2020

[Self-neglect in older adults--a complex problem].

Fransje E Reesink1, Leo Boelaarts, Henry C Weinstein

  • 1VU Medisch Centrum, afd. Neurologie, Amsterdam, The Netherlands. f.reesink@vumc.nl

Nederlands Tijdschrift Voor Geneeskunde
|September 30, 2009
PubMed
Summary
This summary is machine-generated.

Extreme self-neglect in an elderly man was linked to fronto-temporal dementia, not just pneumonia. Early diagnosis of neurodegenerative causes is crucial for elderly patients with self-neglect.

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Area of Science:

  • Neuropathology
  • Geriatrics
  • Neurodegenerative Diseases

Background:

  • Self-neglect in the elderly is a complex geriatric syndrome.
  • It is associated with significant morbidity and mortality.
  • Common causes include neurodegenerative disorders, psychiatric illness, and alcohol abuse.

Observation:

  • A 76-year-old man presented with severe functional decline and self-neglect.
  • He died within days, with pneumonia initially suspected as the cause.
  • Autopsy revealed tauopathy consistent with fronto-temporal dementia.

Findings:

  • Neuropathological examination identified fronto-temporal dementia (FTD) as the underlying cause.
  • The clinical presentation of extreme self-neglect was a manifestation of FTD.
  • This case highlights the importance of considering neurodegenerative etiologies in elderly self-neglect.

Implications:

  • Thorough workup is essential for elderly patients presenting with self-neglect.
  • Identifying neurodegenerative disorders like FTD is critical for appropriate management.
  • Understanding the etiology guides treatment and support for patients and families.